肾下型腹主动脉瘤腔内修复术并发症发生原因及处理研究进展

Causes and treatment of complications of endovascular repair of infrarenal abdominal aortic aneurysm

腔内修复术是目前治疗肾下型腹主动脉瘤的主要方法。与传统开放手术相比,腔内修复术具有创伤小、出血少、术后恢复快等优点,但其并发症如内漏、移植物移位、入路血管相关并发症、分支血管缺血、感染以及肾功能不全等应引起临床重视。本研究就肾下型腹主动脉瘤腔内修复术中及术后并发症的分类、发生原因及处理方法的研究进展作一综述。

Endovascular aneurysm repair has become the primary treatment for the infrarenal abdominal aortic aneurysm.Compared with the traditional open surgery,endovascular aneurysm repair has many advantages,such as little trauma,less bleeding and quick recovery.However,we have to face some unique complications,such as endoleaks,graft displacement,approach-related vascular complications,branch-vessel ischemia,graft infections,and renal insufficiency.This paper reviews the research progress of the classifications,causes and treatment of the intraoperative and postoperative complications of endovascular aneurysm repair.